Some Tasigna Patients May be Able to Stop Treatment: FDA

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FDA says it has updated the labeling for Novartis’ cancer drug Tasigna (nilotonib) to include information for providers about how to discontinue the drug in certain patients. An agency news release says Tasigna was approved in 2007 and is indicated for treating patients with Philadelphia chromosome positive (Ph+) chronic myeloid leukemia (CML).

The updated labeling says that patients with chronic-phase CML who have been taking Tasigna for three years or more and whose leukemia has responded to treatment according to specific criteria as detected by a test that has received FDA marketing authorization may be eligible to stop taking Tasigna.

Information about discontinuing Tasigna was based, the release says, on two single-arm trials of patients with Ph+ chronic phase CML. The trials measured how long patients were able to stop taking Tasigna without the leukemia returning. In the first trial, FDA says, among the 190 newly diagnosed patients with CML who stopped taking Tasigna after taking it for three years or more, 51.6% were in treatment-free remission after 48 weeks and 48.9% were still in remission after 96 weeks. In the second trial, among the 126 patients who stopped taking Tasigna after taking it for three years or more after switching from the cancer drug imatinib (Novartis’ Gleevec), 57.9% were in treatment-free remission about 48 weeks and 53.2% after 96 weeks.

Common side effects in patients who discontinued Tasigna included musculoskeletal symptoms such as body aches, bone pain, and pain in extremities.

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